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Data & Utilization Review Respiratory Therapist - Healthcare Finance & Insurance. Job in Flower Mound Gr8Jobs
Job Description
Medical City Healthcare, in partnership with CryptoAnalyzer, seeks a Respiratory Therapist CRTT to support data-driven respiratory care solutions for healthcare finance and insurance partners. In this unique role, you'll analyze respiratory treatment data, interpret insurance and reimbursement guidelines, and help optimize care pathways for patients using digital health and blockchain-enabled tools. You will collaborate with clinicians, analysts, and product teams to translate clinical findings into actionable financial insights, support claims review, and contribute to predictive models that improve outcomes, reduce cost, and align with payer requirements in a rapidly evolving healthcare landscape. Responsibilities Analyze respiratory care and outcomes data for payer and insurance use cases Support review of claims, coverage criteria, and reimbursement for respiratory services Collaborate with clinicians, analysts, and product teams on data-driven care pathways Interpret clinical guidelines and translate them into financial and operational insights Contribute clinical expertise to predictive models and analytics tools Ensure compliance with healthcare regulations and payer policies Document and communicate findings to internal stakeholders and external partners Required Skills Respiratory assessment and therapy Clinical data interpretation Health insurance and reimbursement basics Utilization review Electronic Medical Record (EMR) systems Medical coding familiarity (ICD, CPT) Data analysis and reporting Healthcare regulations and compliance Communication and documentation Interdisciplinary collaboration
Benefits
- Health Insurance
- Dental Insurance